Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Waldron Place Pediatric Clinic, Inc

Organization Clinic/Center · NPI 1013047356

Waldron Place Pediatric Clinic, Inc is a Clinic/Center in Fort Smith, Arkansas. Licensed in Arkansas. Registered with an NPI since 2007.

Licensed in
AR
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1501 S Waldron Rd Ste 202
Fort Smith, AR 72903-2598
Phone: (479) 452-8311
Fax: (479) 452-5032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence C-5393 (AR)

Record details

NPI number1013047356
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Federico De Miranda — Owner · (479) 452-8311
NPI enumeratedMarch 6, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1501 S Waldron Rd Ste 202, Fort Smith, AR 72903-2598

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